Individual
JERRI SOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18072 RANCH HOUSE RD, COLLEGE STATION, TX 77845-3494
(601) 955-2100
Mailing address
8950 GLENCREST ST APT 8222, HOUSTON, TX 77061-3065
(601) 955-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P322911
MS
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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